Samantha Roth, LCSW-C


Virginia Commonwealth University, MSW in Clinical Social Work

Currently accepting clients for a waitlist.

What’s therapy with me like? I focus most on working with clients who are in alternative lifestyles, especially consensual non-monogamy and BDSM, trauma, and anxiety, using cognitive behavioral therapy, CBT), the neurobiology of trauma, and psycholinguistics.

I like to think of CBT as the 4 C’s: consider the event, cope with your feelings, challenge your thoughts, and change your behaviors. The question then, is how do we do that? It feels like a more practical and direct type of therapy, which fits me because I’m a practical and direct type of person. I do a lot of psychoeducation work with the neurobiology of trauma and how the threat/fear/trauma response affects us both mentally and in our bodies. Understanding those processes can help us really understand how to change, and then choose, certain behaviors over others. Psycholinguistics, which is working with the influence of psychological factors on the development, use, and interpretation of language, has a huge effect on our thoughts and feelings. I’ll often ask clients, “well, why that word? What does it mean to you?” The more we recognize about our word use in our thoughts, the more we can challenge them.

How I’ve kept learning…I have a certification in Gender Violence Intervention from VCU. I am currently working on finishing my certificate in Traumatic Stress Studies from the Trauma Research Foundation, as well as my complex trauma certification (CCTP/CCTP-II).  

Who do I work with? I work with adults from 18-50, and will see individuals, couples, and polycules.

My impacting identities are…I am a cis, white, biromantic,  heterosexual, middle class woman. I grew up in a military family,  with monogamous parents who’ve been married for over 30 years. I’m agnostic (but heavily influenced by the novel Kushiel’s Dart). I am plus sized and a trauma survivor who has been diagnosed with C-PTSD, generalized anxiety disorder, and major depressive disorder (yay for meds and therapy!). I am also actively polyamorous and involved in the BDSM scene. 

I feel allied/aware/informed/knowledgeable about…BDSM (part of and knowledgeable about), Polyam/CNM (part of and knowledgeable about), LGBTQIA (allied and knowledgeable about). 

I am the best fit for a client who…likes a direct, no bullshit approach, and who wants to be challenged (and likes to laugh!). My clients are ready to show up to sessions as their authentic self, want me to do the same, and really want to do the work together. I’m also a great choice for those in alternative lifestyles, as I’m in an alternative lifestyle myself and have a good basis for both personal and professional understanding.

I am not a good fit for a client who…is looking for a less direct, more processing based approach, or for those who are interested more in general talk therapy or insight orientation work.

What makes me unique? One of the things I tell potential clients when they call is that they’re going to get me as a real person. That means I’m going to make jokes, swear, pick up my cats if they walk by for cuddles…as well as provide you with empathy, support, encouragement and someone who will challenge you when needed and help you face that challenge head on. I ask clients to be their true, authentic, vulnerable selves in session – I won’t ask any less of myself.


The Practical Stuff

What insurances do I accept? I am in network with Carefirst BCBS and Cigna.

Do I offer telehealth or in person sessions? During Covid, I am offering teletherapy, and I prefer it. I plan to go back to maybe two days a week in person when I feel safe to do so. 


The Fun Stuff

Did you know…I’m a huge fantasy novel reader, and have been following the ebbs and flows of YA fantasy for years now. I play a little bit of video games (Diablo 3 is my favorite), and I enjoy Star Wars, especially “Star Wars Rebels.” 

Any pets? I have two Tonkinese cats: Kaisa (named after a character from The Golden Compass) and Zuli (named after a character from “Steven Universe”).


What I’ve Learned Lately

  • Introduction to Sex Therapy, Bright Ideas CEU, 2/5/21
  • Sex Workers as Therapy Clients: Equitable Care Certification Intro Course, Equitable Care Certification, 5/13/21
  • Culturally Aware, Trauma Informed Care with Trans and Gender Expansive People, Tavi Hawn, 5/26/21
  • Camouflage Closet Documentary Film Screening and Panel Discussion, UMD Training Center, 6/22/21
  • Advanced Field Instruction Training (FIT): Supervision and Problem Solving Ohio State School of Social Work, September 2021


How to Give me A Buzz

The best way to contact me is…by email, at or by text at 757-320-9356.